STATE OF CONNECTICUT
FOR DEPARTMENT USE ONLY
DEPARTMENT OF REVENUE SERVICES
P.O. Box 2930
Hartford CT 06104-2930
Request for Waiver from Filing
Informational Returns on Magnetic Media
Note: Only the person required to file on magnetic media can file Form CT-8508; a transmitter cannot file
Form CT-8508 for such person, unless he or she has a Power of Attorney (Form LGL-001). If you
have Power of Attorney, attach a letter to Form CT-8508 stating this fact.
REFER TO INSTRUCTIONS ON REVERSE SIDE BEFORE COMPLETING THIS FORM
1. Type of Submission
4. Connecticut Tax Registration No.
Filer name and mailing address (number and street or PO Box, city, state, ZIP)
2. Waiver request for
5. Federal Employer ID No.
(Enter one year
6. Person to contact about this request
7. Telephone No.
8. Form Type
Number you will be filing
Number you expect to file next
Number you wish to file on paper
in total with Connecticut
calendar year with Connecticut
9. Has the filer applied for a waiver from filing on magnetic media from the IRS for the current calendar year?
(If “YES,” attach a copy of federal Form 8508)
If “YES,” was the waiver approved?
NO (If “YES,” attach a copy of the waiver approval)
10.Is this waiver requested for corrections only?
11. Is this the first time you have requested a waiver from Connecticut magnetic media filing requirements for Forms W-2, W-2G and 1099?
(If “NO,” skip to Block 13)
12.If you are unable to file on magnetic media for the current year, will you file on magnetic media for the next calendar year?
(If “YES,” skip to Block 14)
13.Do you presently own a computer?
Enter the estimated cost for self-prepared magnetic media
Enter two current cost estimates given to you by third parties who
would prepare your files for you. Cost estimates for any reason other
than the preparation of magnetic media will not be acceptable.
(Attach these two cost estimates to Form CT-8508. Failure to provide
cost estimates will result in an automatic denial of your waiver request.)
DECLARATION: I declare under the penalties of false statement that I have examined this application and to the best of my knowledge and
belief it is true, complete and correct.